经颅磁刺激（rTMS）
康复理疗
≈ ¥300-800元/次
(≈ $45-120美元/次)
大约20-40分钟/次
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项目介绍
经颅磁刺激（rTMS）在一般公立医院参考费用约¥210-640，三甲医院参考费用约¥300-800元/次，常用于相关诊断评估与就医安排，费用随医院及地区有所差异。
主要用途
Primary clinical uses include: FDA-cleared treatment for major depressive disorder (MDD) in adults who have failed ≥1 antidepressant trial; adjunctive treatment for obsessive-compulsive disorder (OCD); investigational/expanded-use applications in anxiety disorders, PTSD, chronic pain (e.g., fibromyalgia, neuropathic pain), smoking cessation, stroke rehabilitation (motor recovery), and negative symptoms of schizophrenia. Used in outpatient neurology and psychiatry settings under physician supervision.
正常值范围
rTMS is not a diagnostic laboratory test with quantitative 'values' or numerical reference ranges; it is a non-invasive neuromodulation therapy. Parameters such as motor threshold (MT), stimulation intensity (% of MT), frequency (Hz), pulse number, train duration, and inter-train interval are individually titrated during clinical setup. Typical therapeutic intensities range from 80–120% of resting motor threshold (RMT); common frequencies include 1 Hz (inhibitory) and 10 Hz (excitatory); standard protocols involve 30–60 trains per session, each lasting 4–10 seconds, with 20–60 second inter-train intervals.
偏低可能原因
Low stimulation efficacy may result from: (1) subthreshold dosing (intensity <80% RMT), (2) coil misplacement or poor scalp contact, (3) elevated motor threshold due to medication (e.g., benzodiazepines, anticonvulsants), (4) anatomical factors (e.g., increased scalp-to-cortex distance from skull thickness or atrophy), (5) technical issues (e.g., device calibration error or coil degradation).
偏高可能原因
Excessively high or adverse stimulation effects may arise from: (1) suprathreshold intensity (>120% RMT) without titration, (2) excessive frequency or total pulse count (e.g., >3000 pulses/session), (3) inadequate inter-train intervals leading to cortical hyperexcitability, (4) pre-existing hyperexcitable states (e.g., untreated epilepsy, recent sleep deprivation), (5) concurrent use of serotonergic or stimulant medications lowering seizure threshold.